MN 551 PATHO EVALUATION LATEST QUESTIONS
AND ANSWERS SURE A+
✔✔A 24-year-old woman has presented to an inner-city free clinic because of the
copious, foul vaginal discharge that she has had in recent days. Microscopy has
confirmed the presence of Trichomonas vaginalis. What is the woman's most likely
treatment and prognosis?
Question options:
Vaginal suppositories and topical ointments can provide symptom relief but cannot
eradicate the microorganism.
Antifungal medications are effective against the anovulation and risk of HIV that
accompany the infection.
Oral antibiotics can prevent complications such as infertility and pelvic inflammatory
disease.
Abstinence will be required until the infection resolves, since treatments do not yet have
proven efficacy. - ✔✔Oral antibiotics can prevent complications such as infertility and
pelvic inflammatory disease.
✔✔A 14-year-old boy has been brought to the emergency department by his mother in
excruciating pain that is radiating from his scrotum to his inguinal area. The boy's heart
rate is 122 beats per minute and he vomited twice before arrival at the hospital.
Examination reveals that his scrotum is reddened and slightly swollen and the testes
are firm to the touch and tender, with extensive cremaster muscle contraction noted.
What is the boy's most likely diagnosis?
Question options:
Varicocele
Testicular torsion
,Hydrocele
Epididymitis - ✔✔Testicular torsion
✔✔Which of the following situations would be considered pathologic in an otherwise
healthy 30-year-old female?
Question options:
The woman's ovaries are not producing progesterone.
The epithelium covering the woman's ovaries is broken during the time of ovulation.
The woman's ovaries do not synthesize or secrete luteinizing hormone (LH).
The woman's ovaries are not producing new ova. - ✔✔The woman's ovaries are not
producing progesterone.
✔✔A 60-year-old woman who is 11 years menopausal has presented to the emergency
department stating, "I haven't had my period in years, but lately I've been bleeding
again, and quite heavily in the last few days." The care team needs to rule out
endometrial cancer. How should they best explain the most accurate plan for confirming
or ruling out the diagnosis?
Question options:
"We can do a Pap smear right now and we will get the results as soon as we can."
"We are going to order blood work that will measure your hormone levels."
"We're going to have to open your cervix with a speculum and take scrapings from the
wall of your uterus."
"We're going to book a CT scan for you as soon as possible so that we can see what is
inside your uterus." - ✔✔We're going to have to open your cervix with a speculum and
take scrapings from the wall of your uterus."
✔✔A 66-year-old man has presented to a nurse practitioner to get a refill for his
antiplatelet medication. The patient has a history of ischemic heart disease and suffered
a myocardial infarction 5 years ago and has unstable angina; he uses a transdermal
nitroglycerin patch to control his angina. The patient has a 40-pack-year smoking history
and uses nebulized bronchodilators at home for the treatment of transient shortness of
breath. He has long-standing hypertension that is treated with a potassium-sparing
diuretic and a ß-adrenergic blocking medication. During the nurse's assessment, the
man notes that he has been unable to maintain his erection in recent months. Which of
the following aspects of the man's health problems and treatments would the nurse
identify as NOT being contributing to his erectile dysfunction (ED)?
, Question options:
His age
His smoking history
His ischemic heart disease
His hypertension
H - ✔✔His use of bronchodilators
✔✔A 71-year-old man has visited his nurse practitioner for a check-up, during which the
nurse practitioner has initiated a discussion about the patient's sexual function. Which of
the following phenomena would the nurse practitioner most likely consider a
pathological rather than an age-related change?
Question options:
A decrease in the force of the man's ejaculation
Cessation of FSH production
A decrease in the size and firmness of the patient's testes
The presence of relative or absolute hypogonadism - ✔✔Cessation of FSH production
✔✔A 39-year-old male patient has been recently diagnosed with primary
hypogonadism. Which of the following lab results would be most indicative of this
diagnosis?
Question options:
Low testosterone levels; normal levels of LH and FSH
Low levels of GnRH
Low free testosterone, LH, and FSH levels
Normal levels of free testosterone; low levels of total testosterone - ✔✔Low
testosterone levels; normal levels of LH and FSH
✔✔During a group prenatal class, the nurse teaching the course is explaining the
thinning of the cervix that accompanies the stages of labor leading up to delivery. A
participant admits that she is not familiar with either the location or normal role of the
cervix. Which of the following responses, by the nurse, would be most appropriate?
Question options:
AND ANSWERS SURE A+
✔✔A 24-year-old woman has presented to an inner-city free clinic because of the
copious, foul vaginal discharge that she has had in recent days. Microscopy has
confirmed the presence of Trichomonas vaginalis. What is the woman's most likely
treatment and prognosis?
Question options:
Vaginal suppositories and topical ointments can provide symptom relief but cannot
eradicate the microorganism.
Antifungal medications are effective against the anovulation and risk of HIV that
accompany the infection.
Oral antibiotics can prevent complications such as infertility and pelvic inflammatory
disease.
Abstinence will be required until the infection resolves, since treatments do not yet have
proven efficacy. - ✔✔Oral antibiotics can prevent complications such as infertility and
pelvic inflammatory disease.
✔✔A 14-year-old boy has been brought to the emergency department by his mother in
excruciating pain that is radiating from his scrotum to his inguinal area. The boy's heart
rate is 122 beats per minute and he vomited twice before arrival at the hospital.
Examination reveals that his scrotum is reddened and slightly swollen and the testes
are firm to the touch and tender, with extensive cremaster muscle contraction noted.
What is the boy's most likely diagnosis?
Question options:
Varicocele
Testicular torsion
,Hydrocele
Epididymitis - ✔✔Testicular torsion
✔✔Which of the following situations would be considered pathologic in an otherwise
healthy 30-year-old female?
Question options:
The woman's ovaries are not producing progesterone.
The epithelium covering the woman's ovaries is broken during the time of ovulation.
The woman's ovaries do not synthesize or secrete luteinizing hormone (LH).
The woman's ovaries are not producing new ova. - ✔✔The woman's ovaries are not
producing progesterone.
✔✔A 60-year-old woman who is 11 years menopausal has presented to the emergency
department stating, "I haven't had my period in years, but lately I've been bleeding
again, and quite heavily in the last few days." The care team needs to rule out
endometrial cancer. How should they best explain the most accurate plan for confirming
or ruling out the diagnosis?
Question options:
"We can do a Pap smear right now and we will get the results as soon as we can."
"We are going to order blood work that will measure your hormone levels."
"We're going to have to open your cervix with a speculum and take scrapings from the
wall of your uterus."
"We're going to book a CT scan for you as soon as possible so that we can see what is
inside your uterus." - ✔✔We're going to have to open your cervix with a speculum and
take scrapings from the wall of your uterus."
✔✔A 66-year-old man has presented to a nurse practitioner to get a refill for his
antiplatelet medication. The patient has a history of ischemic heart disease and suffered
a myocardial infarction 5 years ago and has unstable angina; he uses a transdermal
nitroglycerin patch to control his angina. The patient has a 40-pack-year smoking history
and uses nebulized bronchodilators at home for the treatment of transient shortness of
breath. He has long-standing hypertension that is treated with a potassium-sparing
diuretic and a ß-adrenergic blocking medication. During the nurse's assessment, the
man notes that he has been unable to maintain his erection in recent months. Which of
the following aspects of the man's health problems and treatments would the nurse
identify as NOT being contributing to his erectile dysfunction (ED)?
, Question options:
His age
His smoking history
His ischemic heart disease
His hypertension
H - ✔✔His use of bronchodilators
✔✔A 71-year-old man has visited his nurse practitioner for a check-up, during which the
nurse practitioner has initiated a discussion about the patient's sexual function. Which of
the following phenomena would the nurse practitioner most likely consider a
pathological rather than an age-related change?
Question options:
A decrease in the force of the man's ejaculation
Cessation of FSH production
A decrease in the size and firmness of the patient's testes
The presence of relative or absolute hypogonadism - ✔✔Cessation of FSH production
✔✔A 39-year-old male patient has been recently diagnosed with primary
hypogonadism. Which of the following lab results would be most indicative of this
diagnosis?
Question options:
Low testosterone levels; normal levels of LH and FSH
Low levels of GnRH
Low free testosterone, LH, and FSH levels
Normal levels of free testosterone; low levels of total testosterone - ✔✔Low
testosterone levels; normal levels of LH and FSH
✔✔During a group prenatal class, the nurse teaching the course is explaining the
thinning of the cervix that accompanies the stages of labor leading up to delivery. A
participant admits that she is not familiar with either the location or normal role of the
cervix. Which of the following responses, by the nurse, would be most appropriate?
Question options:
